{"id":26000,"date":"2023-04-22T09:00:45","date_gmt":"2023-04-22T02:00:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26000"},"modified":"2023-04-29T17:45:24","modified_gmt":"2023-04-29T10:45:24","slug":"tien-man-kinh-dinh-nghia-trieu-chung-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tien-man-kinh-dinh-nghia-trieu-chung-dieu-tri\/","title":{"rendered":"Ti\u1ec1n m\u00e3n kinh: \u0111\u1ecbnh ngh\u0129a, tri\u1ec7u ch\u1ee9ng, \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>Ti\u1ec1n m\u00e3n kinh l\u00e0 giai \u0111o\u1ea1n tr\u01b0\u1edbc khi m\u00e3n kinh ch\u00ednh th\u1ee9c x\u1ea3y ra v\u00e0 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u t\u1eeb kho\u1ea3ng 4-5 n\u0103m tr\u01b0\u1edbc khi kinh nguy\u1ec7t ho\u00e0n to\u00e0n ng\u1eebng. Trong th\u1eddi k\u1ef3 n\u00e0y, n\u1ed9i ti\u1ebft t\u1ed1 n\u1eef trong c\u01a1 th\u1ec3 ph\u1ee5 n\u1eef b\u1eaft \u0111\u1ea7u thay \u0111\u1ed5i v\u00e0 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau. M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 tr\u1ea3i qua ti\u1ec1n m\u00e3n kinh m\u1ed9t c\u00e1ch d\u1ec5 d\u00e0ng, nh\u01b0ng \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi kh\u00e1c, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u kh\u00f3 kh\u0103n v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng<\/strong><\/p>\n<h2>1. \u0110\u1ecbnh ngh\u0129a<\/h2>\n<p>M\u00e3n kinh \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh\u00a0 khi ph\u1ee5 n\u1eef \u0111\u00e3 tr\u1ea3i qua 12 th\u00e1ng kh\u00f4ng c\u00f3 kinh nguy\u1ec7t m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 nguy\u00ean nh\u00e2n b\u1ec7nh l\u00fd ho\u1eb7c sinh l\u00fd n\u00e0o r\u00f5 r\u00e0ng kh\u00e1c. Ph\u1ee5 n\u1eef b\u01b0\u1edbc v\u00e0o th\u1eddi k\u1ef3 m\u00e3n kinh \u1edf \u0111\u1ed9 tu\u1ed5i trung b\u00ecnh l\u00e0 51 tu\u1ed5i, v\u1edbi 95% ng\u01b0\u1eddi c\u00f3 kinh cu\u1ed1i c\u00f9ng t\u1eeb 45 \u0111\u1ebfn 55 tu\u1ed5i. L\u00e0\u00a0 ph\u1ea3n \u00e1nh c\u1ee7a s\u1ef1\u00a0 thi\u1ebfu h\u1ee5t to\u00e0n b\u1ed9 ho\u1eb7c g\u1ea7n nh\u01b0 to\u00e0n b\u1ed9 c\u00e1c nang bu\u1ed3ng tr\u1ee9ng bi\u1ec3u hi\u1ec7n l\u00e0 gi\u1ea3m estrogen v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 hormone k\u00edch th\u00edch nang (FSH) cao.<\/p>\n<p>Ti\u1ec1n m\u00e3n kinh \u0111\u01b0\u1ee3c xem l\u00e0 giai \u0111o\u1ea1n chuy\u1ec3n ti\u1ebfp m\u00e3n kinh.<\/p>\n<h2>2. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ti\u1ec1n m\u00e3n kinh<\/h2>\n<p>Ti\u1ec1n m\u00e3n kinh b\u1eaft \u0111\u1ea7u trung b\u00ecnh l\u00e0 4 n\u0103m tr\u01b0\u1edbc khi k\u1ef3 kinh cu\u1ed1i c\u00f9ng (KCC) v\u00e0 bao g\u1ed3m nhi\u1ec1u thay \u0111\u1ed5i sinh l\u00fd c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ph\u1ee5 n\u1eef. N\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi chu k\u1ef3 kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u v\u00e0 s\u1ef1 thay \u0111\u1ed5i hormone \u0111\u00e1ng k\u1ec3, th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi c\u01a1n n\u00f3ng, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, tri\u1ec7u ch\u1ee9ng t\u00e2m tr\u1ea1ng th\u1ea5t th\u01b0\u1eddng v\u00e0 kh\u00f4 \u00e2m \u0111\u1ea1o. Ngo\u00e0i ra, c\u00e1c thay \u0111\u1ed5i v\u1ec1 lipid v\u00e0 m\u1ea5t x\u01b0\u01a1ng b\u1eaft \u0111\u1ea7u x\u1ea3y ra, c\u1ea3 hai \u0111\u1ec1u c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe l\u00e2u d\u00e0i. \u0110\u1ed1i v\u1edbi nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 \u0111au kh\u1edbp v\u00e0 m\u1ea5t tr\u00ed nh\u1edb, s\u1ef1 li\u00ean quan v\u1edbi m\u00e3n kinh kh\u00f4ng r\u00f5 r\u00e0ng.<\/p>\n<ul>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac, ch\u00e1n n\u1ea3n, lo l\u1eafng, kh\u00f3 ch\u1ecbu v\u00e0 tr\u1ea7m c\u1ea3m c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n.<\/li>\n<li>Ngo\u00e0i ra, c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ea3m t\u00ecnh d\u1ee5c, gi\u1ea3m ham mu\u1ed1n v\u00e0 kh\u00f4 \u00e2m \u0111\u1ea1o c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 b\u1ea5t m\u00e3n v\u00e0 kh\u00f3 ch\u1ecbu. Nh\u1eefng s\u1ef1 thay \u0111\u1ed5i n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ph\u1ee5 n\u1eef v\u00e0 t\u1ea1o ra s\u1ef1 b\u1ea5t ti\u1ec7n trong m\u1ed1i quan h\u1ec7 v\u1ee3 ch\u1ed3ng v\u00e0 c\u00e1c m\u1ed1i quan h\u1ec7 x\u00e3 h\u1ed9i kh\u00e1c<\/li>\n<li>Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef \u0111\u1ec1u tr\u1ea3i qua c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y v\u00e0 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u00f3 th\u1ec3 kh\u00e1c nhau \u0111\u1ed1i v\u1edbi m\u1ed7i ng\u01b0\u1eddi.<\/li>\n<\/ul>\n<p>H\u1ea7u h\u1ebft m\u1ecdi ph\u1ee5 n\u1eef \u0111\u1ec1u tr\u1ea3i qua s\u1ef1 kh\u00f4ng \u0111\u1ec1u c\u1ee7a k\u1ef3 kinh v\u00e0 s\u1ef1 thay \u0111\u1ed5i hormone tr\u01b0\u1edbc khi ti\u1ebfn \u0111\u1ebfn m\u00e3n kinh l\u00e2m s\u00e0ng; l\u00ean \u0111\u1ebfn 80% ph\u1ee5 n\u1eef m\u1eafc c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00f3ng (tri\u1ec7u ch\u1ee9ng m\u00e3n kinh ph\u1ed5 bi\u1ebfn nh\u1ea5t).<\/p>\n<p>Trong ti\u1ec1n m\u00e3n kinh, s\u1ea3n xu\u1ea5t c\u00e1c hormone n\u1eef (<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/estrogen-la-gi-va-co-vai-tro-gi\/\">estrogen<\/a> v\u00e0 progesterone) trong c\u01a1 th\u1ec3 b\u1eaft \u0111\u1ea7u gi\u1ea3m d\u1ea7n. Tr\u01b0\u1edbc khi kinh nguy\u1ec7t ch\u00ednh th\u1ee9c ng\u1eebng, c\u00e1c tuy\u1ebfn bu\u1ed3ng tr\u1ee9ng s\u1ebd s\u1ea3n xu\u1ea5t \u00edt hormone h\u01a1n, d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ti\u1ec1n m\u00e3n kinh.<\/p>\n<figure id=\"attachment_26422\" aria-describedby=\"caption-attachment-26422\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-26422\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-2-1-300x300.png\" alt=\"Ti\u1ec1n m\u00e3n kinh\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-2-1-300x300.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-2-1-1024x1024.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-2-1-150x150.png 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-2-1-768x768.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-2-1.png 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-26422\" class=\"wp-caption-text\">Ti\u1ec1n m\u00e3n kinh<\/figcaption><\/figure>\n<h2>3. C\u00e1ch gi\u1ea3m thi\u1ec3u c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ti\u1ec1n m\u00e3n kinh<\/h2>\n<ul>\n<li>Menopausal hormone therapy (MHT): M\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a MHT l\u00e0 gi\u1ea3m c\u00e1c c\u01a1n \u0111\u1ed5 m\u1ed3 h\u00f4i n\u00f3ng. Nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00e1c li\u00ean quan \u0111\u1ebfn ti\u1ec1n m\u00e3n kinh nh\u01b0 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng th\u1ea5t th\u01b0\u1eddng v\u00e0 \u0111\u00f4i khi gi\u1ea3m tr\u00ed nh\u1edb. Bao g\u1ed3m vi\u1ec7c s\u1eed d\u1ee5ng hormone n\u1eef (estrogen) ho\u1eb7c estrogen k\u1ebft h\u1ee3p v\u1edbi hormone progesterone. \u0110\u01b0\u1eddng d\u00f9ng &#8211; Estrogen c\u00f3 nhi\u1ec1u d\u1ea1ng: u\u1ed1ng, b\u00f4i ngo\u00e0i da, kem v\u00e0 s\u1eefa b\u00f4i t\u1ea1i ch\u1ed7 v\u00e0 v\u00f2ng \u00e2m \u0111\u1ea1o. \u1ede m\u1ed9t s\u1ed1 qu\u1ed1c gia, estrogen c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o d\u01b0\u1edbi d\u1ea1ng c\u1ea5y d\u01b0\u1edbi da. C\u01b0\u1eddng \u0111\u1ed9 v\u00e0 do \u0111\u00f3 li\u1ec1u c\u1ee7a nh\u1eefng lo\u1ea1i estrogen n\u00e0y kh\u00e1c nhau. Th\u01b0\u1eddng kh\u1edfi \u0111\u1ea7u v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng lo\u1ea1i thu\u1ed1c b\u00f4i ngo\u00e0i da ho\u1eb7c u\u1ed1ng. Estrogen u\u1ed1ng n\u00ean \u0111\u01b0\u1ee3c tr\u00e1nh \u1edf ph\u1ee5 n\u1eef c\u00f3 huy\u1ebft triglyceride cao, b\u1ec7nh t\u1ee5y m\u1eadt ho\u1ea1t \u0111\u1ed9ng, ho\u1eb7c r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u nh\u01b0 factor V Leiden (c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed \u0111\u1ed9t qu\u1ef5 t\u0129nh m\u1ea1ch. Estrogen b\u00f4i ngo\u00e0i da c\u0169ng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean cho ph\u1ee5 n\u1eef b\u1ecb \u0111au n\u1eeda \u0111\u1ea7u kinh ni\u00ean. Tuy nhi\u00ean, MHT kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p cho t\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh li\u1ec7u ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 ph\u00f9 h\u1ee3p v\u1edbi m\u1ed9t ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u1ee5 th\u1ec3 hay kh\u00f4ng.<\/li>\n<li>Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng: \u0110i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng l\u00e0 m\u1ed9t c\u00e1ch gi\u1ea3m thi\u1ec3u c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh \u0111\u01a1n gi\u1ea3n v\u00e0 hi\u1ec7u qu\u1ea3, bao g\u1ed3m ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, gi\u1ea3m stress, ng\u1ee7 \u0111\u1ee7 gi\u1ea5c, v\u00e0 tr\u00e1nh c\u00e1c ch\u1ea5t k\u00edch th\u00edch nh\u01b0 r\u01b0\u1ee3u v\u00e0 thu\u1ed1c l\u00e1.<\/li>\n<li>Th\u1ef1c ph\u1ea9m v\u00e0 ch\u1ea5t b\u1ed5 sung: C\u00e1c ch\u1ea5t b\u1ed5 sung nh\u01b0 canxi, vitamin D, omega-3 v\u00e0 isoflavones c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng. C\u00e1c th\u1ef1c ph\u1ea9m n\u00ean tr\u00e1nh v\u00e0 h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng nh\u01b0\u00a0 nh\u01b0 c\u00e0 ph\u00ea, cacao, r\u01b0\u1ee3u vang \u0111\u1ecf, th\u1ee9c \u0103n n\u00f3ng, gia v\u1ecb v\u00e0 th\u1ef1c ph\u1ea9m gi\u00e0u \u0111\u01b0\u1eddng.<\/li>\n<li>K\u1ef9 thu\u1eadt ch\u00e2m c\u1ee9u v\u00e0 th\u1ea3o d\u01b0\u1ee3c: M\u1ed9t s\u1ed1 ng\u01b0\u1eddi tin r\u1eb1ng c\u00e1c k\u1ef9 thu\u1eadt th\u1ea3o d\u01b0\u1ee3c v\u00e0 ch\u00e2m c\u1ee9u c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng m\u00e3n kinh. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh.<\/li>\n<\/ul>\n<p>\u0110\u1ec3 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ti\u1ec1n m\u00e3n kinh v\u00e0 gi\u1eef g\u00ecn s\u1ee9c kh\u1ecfe t\u1ed1t, ph\u1ee5 n\u1eef c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean v\u00e0 ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3. \u0110\u1ec3 gi\u1ea3i quy\u1ebft c\u00e1c thay \u0111\u1ed5i t\u00e2m sinh l\u00fd trong th\u1eddi k\u1ef3 ti\u1ec1n m\u00e3n kinh, ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 t\u1eeb c\u00e1c chuy\u00ean gia t\u00e2m l\u00fd h\u1ecdc ho\u1eb7c c\u00e1c chuy\u00ean gia t\u01b0 v\u1ea5n v\u1ec1 quan h\u1ec7 t\u00ecnh d\u1ee5c. Ngo\u00e0i ra, h\u1ecd c\u0169ng c\u00f3 th\u1ec3 t\u00ecm ki\u1ebfm gi\u1ea3i ph\u00e1p t\u1eeb thu\u1ed1c ho\u1eb7c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o b\u1edfi b\u00e1c s\u0129.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ti\u1ec1n m\u00e3n kinh l\u00e0 giai \u0111o\u1ea1n tr\u01b0\u1edbc khi m\u00e3n kinh ch\u00ednh th\u1ee9c x\u1ea3y ra v\u00e0 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u t\u1eeb kho\u1ea3ng 4-5 n\u0103m tr\u01b0\u1edbc khi kinh nguy\u1ec7t ho\u00e0n to\u00e0n ng\u1eebng. Trong th\u1eddi k\u1ef3 n\u00e0y, n\u1ed9i ti\u1ebft t\u1ed1 n\u1eef trong c\u01a1 th\u1ec3 ph\u1ee5 n\u1eef b\u1eaft \u0111\u1ea7u thay \u0111\u1ed5i v\u00e0 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau. M\u1ed9t [&hellip;]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ti\u1ec1n m\u00e3n kinh: \u0111\u1ecbnh ngh\u0129a, tri\u1ec7u ch\u1ee9ng, \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"Ti\u1ec1n m\u00e3n kinh l\u00e0 giai \u0111o\u1ea1n tr\u01b0\u1edbc khi m\u00e3n kinh ch\u00ednh th\u1ee9c x\u1ea3y ra v\u00e0 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u t\u1eeb kho\u1ea3ng 4-5 n\u0103m tr\u01b0\u1edbc khi kinh nguy\u1ec7t ho\u00e0n to\u00e0n ng\u1eebng\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ti\u1ec1n m\u00e3n kinh: \u0111\u1ecbnh ngh\u0129a, tri\u1ec7u ch\u1ee9ng, \u0111i\u1ec1u tr\u1ecb - 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